KELLIE ANN DOUGLAS CPNP-PC NPI 1063840171

NPI Information

NPI: 1063840171
Provider Name: KELLIE ANN DOUGLAS, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Specialization: Pediatrics
Entity Type: Individual
Address: 4545 E 9TH AVE STE 260
DENVER, CO
ZIP 80220
Phone: (303) 320-7366

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NPI Details

Kellie Ann Douglas, CPNP-PC is a pediatrics nurse practitioner in Denver, CO. Kellie Ann Douglas, CPNP-PC NPI is 1063840171. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4545 E 9TH AVE STE 260
DENVER, CO
ZIP 80220
Phone: (303) 320-7366

The enumeration date for this NPI number is 10/29/2013 and was last updated on 7/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	5007234	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	993170	OTHER	COLORADO	NURSE PRACTITIONER - APN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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